Medicare Advantage in Nicholas County, West Virginia
4,751 people in Nicholas County, West Virginia were enrolled in Medicare Advantage in October 2026, 64.3% of 7,387 eligible beneficiaries (+1.7 pts since October 2025). Humana Inc. is the largest parent organization with 47% of reported enrollment; 8 parent organizations have 11 or more members and the HHI is 2,980 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 672 members here are in plans that terminate or leave the county. MA plans offered go from 37 to 28.
Parent organizations in Nicholas County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| Humana Inc. | 2,228 | +101 | 47.2% |
| CVS Health Corporation | 1,072 | −45 | 22.7% |
| UnitedHealth Group, Inc. | 567 | −39 | 12.0% |
| UMWA Health and Retirement Funds | 316 | −15 | 6.7% |
| Highmark Health | 249 | −49 | 5.3% |
| West Virginia United Health System, Inc. | 168 | new | 3.6% |
| The Health Plan of West Virginia, Inc. | 77 | +1 | 1.6% |
| SNP Holdings, LLC | 41 | −4 | 0.9% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 1,671 beneficiaries in Nicholas County were assigned to 22 Medicare Shared Savings Program ACOs, 70.4% of assignable Original Medicare beneficiaries. Together, roughly 89% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.